Nurse Practitioner, Street Medicine (Redwood City, CA)

At Healthcare in Action, we serve patients experiencing homelessness through an innovative "street medicine" approach by contracting with Medicare and Medicaid health plans as well as hospitals and health systems.

Street medicine entails using a medically equipped van to deliver medical care directly to people experiencing homelessness in locations such as parking lots, encampments, and parks.

The Nurse Practitioner, Street Medicine will provide direct care to people experiencing homelessness. The NP will manage their health by providing direct care as an independent healthcare provider and through coordination of care with the Healthcare in Action team. Assist in motivating behavioral changes in patients to improve health outcomes in members through education, peer support, and the relaying of shared experiences.

Care is delivered through a mobile van setting out in the community, or at the San Mateo Navigation Center in Redwood City, CA.

Responsibilities include:

• Meet with patients, conduct physical exams and assessments including diagnostic exams; take medical histories; diagnose and document patient's health conditions; conduct wellness exams, administer vaccinations and draw blood for lab tests (if necessary). Produce care plan for patients.
• Perform Chronic Care Assessments for patients.
• Interpret and evaluate diagnostic tests to identify and assess individuals' clinical problems and health care needs.
• Thoroughly document all chronic health conditions and consider appropriate follow up with local provider network.
• Organize and complete Chronic Care Assessments and chart audits for patients.
• Develop and organize individualized care plans in collaboration with patients, peer nav, and primary care physicians. Educate and advise on medical issues as needed. Consult with physicians and General Manager as needed. Ensure team physicians are aware of patient's health conditions and progress.
• Provide health education to patients. Work with patients in the prevention of illness, promotion of health, and management of patient's adjustment to chronic health problems.
• Provide referrals both internally and externally to appropriate medical resources.
• Engage with providers and patients to create a trusting environment. Maintain a safe, efficient, and pleasant environment conducive to optimum patient wellbeing, in conformance with recognized standards. Function in a collaborative relationship with physicians and other health care professionals in the clinical management of patients. Maintain a good working relationship with other personnel, medical staff, and administration.
• Follow company policies and procedures:
• Document patient visit/interaction accurately and timely.
• Develop an understanding of Health Plan's encounter data submission process and CMS requirements. Participate in the grievance, audit and continuing education, quality assurance, and quality improvement programs. Serve as an on-going resource to providers and case management teams. Serve on and participate in appropriate clinical committees, as assigned.
• Must be able to drive medically equipped vehicles when conducting outreach.
• Must have a valid, CA driver's license and clean driving record.
• Must have proof of insurance

Qualifications and experience:

• Graduate degree (Master of Science in Nursing or Doctor of Nursing Practice) from an accredited nursing school required.

• Current California Nurse Practitioner license in good standing.

• NPI

• DEA license in good standing

• Current First Aid/CPR/AED certification.

• 2+ years of experience working as a Nurse Practitioner in a medical office, hospital, population health required.

• Demonstrated experience providing direct patient care in the field, required.
• Experience in the military or international relief providing patient care in outdoor environments strongly preferred.
• Experience with substance abuse and mental health highly desired.
• Familiarity with insurance switches and navigating MediCAL.

• Understanding of ICD-10 Coding preferred.

• Excellent assessment skills required.

• Ability to problem-solve and to prioritize changing patient conditions required.

• Knowledge of efficient interviewing practices and techniques used to gather information.

• Strong interpersonal skills with the ability to build relationships with providers and patients.

• Ability to work on a team and maintain good working relationships with staff and patients required.

• Excellent verbal, written communication and listening skills both in-person and on the phone required.

• Excellent customer service skills required.

• Ability to be culturally sensitive and work with a diverse patient population.

• Ability to maintain quality, safety and /or infection control standards.

• Knowledge of and/or ability to learn and use computer-based applications such as MS Office and electronic medical record systems.

• Knowledge of medical records and appropriate documentation requirements.

• Ability to maintain patient confidentiality required. Knowledge of HIPAA requirements.

• Ability to remain calm and be resourceful in emergency situations required. Ability to maintain a professional demeanor at all times.

• Ability to climb, stoop, kneel and crouch required. Ability to bend, reach, lift, pull, push and/or carry up to 15 pounds regularly and up to 50 pounds occasionally required.

• Proof of Valid CA Driver's License, StateLiability Insurance

• Must be able to walk distances and hike as needed carrying supplies.

Tuberculosis Screening Policy

To ensure the health and safety of our members, if you are selected for this position, your job offer with Healthcare in Action will be contingent on providing proof of Tuberculosis screening upon hire or providing proof of a negative screening within the last year. If you have a disability/medical reason or sincerely held religious belief that prevents you to provide information required in this policy, HIA will initiate and engage in the interactive process to evaluate what, if any, reasonable accommodations may be available.

What's in it for you?

• Base salary range: $106,200to$203,838 per year
• An annual employee bonus program
• Medical, Dental, Vision coverage
• CME
• Malpractice coverage
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 11 paid holidays per year, plus 1 additional floating holiday
• Excellent 401(k) Retirement Saving Plan with employer match
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

At Healthcare in Action, we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

Healthcare in Action is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employee will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

Healthcare in Action was established in 2021 as a 501 (c)3 organization and associated medical group. Utilizing mobile clinics staffed by healthcare professionals, community health workers, and social workers, our teams travel directly to unhoused individuals living in communities across the geographies we serve, providing services where they reside - including tents, cars, shelters, and temporary housing. In meeting patients where they are and supporting their goals, HIA team members build trust - a critical component that can lead to meaningful and positive changes in health and housing. Our mission is to improve the lives of people experiencing homelessness through quality holistic care. It is our vision that all people experiencing homelessness have access to quality healthcare that addresses their mental, social and physical health needs.